HEENT Reading Test
Please complete the following online test. Then print out your test certificate and submit to Ms. Lee. Email me with any feedback. All answers are found in the required chapters. Please let me know what you think of this format for post tests.
- 1.
Which fascial plane allows allows extension or oral infections into the head and neck?
- A.
Superficial Fascia
- B.
Investing Fascia
- C.
Deep Cervical Fascia
- D.
Antral Fascia
Correct Answer
C. Deep Cervical Fascia -
- 2.
The treatment of posterior epistaxis may include which of the following:
- A.
Foley placement
- B.
Interventional radiology
- C.
Endoscopic cautery
- D.
All of the above
Correct Answer
D. All of the above -
- 3.
Papilledema is characterized by:
- A.
Blurring of the optic disk
- B.
Loss of spontaneous arterial pulsations
- C.
Unilateral findings
- D.
All of the above
Correct Answer
A. Blurring of the optic disk -
- 4.
What is the appropriate evaluation of otherwse benign hoarseness?
- A.
After 2 months with CT scan.
- B.
After 2 weeks with CT scan.
- C.
After 2 months with soft tissue neck radiographs.
- D.
After 2 weeks with fiberoptic examination.
Correct Answer
D. After 2 weeks with fiberoptic examination. -
- 5.
Which clinical findings are highly suggestive of malignancy in a patient with a neck mass?
- A.
Pediatric patient with OME or referred pain to the ear
- B.
Adult patient with OME after swimming
- C.
Adult patient with OME or referred pain to the ear
- D.
Pediatric patient referred pain to the ear
Correct Answer
C. Adult patient with OME or referred pain to the ear -
- 6.
What is the best technique for draining fluctuant dental abscesses in the ED?
- A.
Needle aspiration
- B.
Stab incision through the perisostium
- C.
Stab incision stopping above the periostium
- D.
Open the abscess from end to end over the most fluctuant area
Correct Answer
B. Stab incision through the perisostium -
- 7.
Which of the following are possible complications of dental caries?
- A.
Ludwig’s angina
- B.
Cavernous sinus thrombosis
- C.
Canine Space Infection
- D.
All of the above.
Correct Answer
D. All of the above. -
- 8.
The best management option for a 4 year old child with a low temp of 38.3 due to acute ottitis media with reliable follow up is:
- A.
High Dose Amoxicillin for 3 days
- B.
Antihistamines and decongestants
- C.
Pain control
- D.
High Dose Amoxicillin for 10 days
Correct Answer
C. Pain control -
- 9.
Pilocarpine will;
- A.
Rapidly produce myadriasis in a patient with a pupil affected by a pharmacologic agent
- B.
Rapidly produce myadriasis in a patient with a third nerve palsy.
- C.
Rapidly produce miosis in a patient with third nerve palsy.
- D.
Rapidly produce miosis in a patient with a pupil affected by a pharmacologic agent.
Correct Answer
C. Rapidly produce miosis in a patient with third nerve palsy. -
- 10.
Central retinal artery occlusion is suggested by:
- A.
Gradual visual loss in the periphery with an increased optic cup to disk ratio
- B.
Sudden visual loss in all fields with a cherry red fovea
- C.
Gradual visual loss in the periphery with a blood and thunder fundus.
- D.
Sudden visual loss in all fields with a blood and thunder fundus
Correct Answer
B. Sudden visual loss in all fields with a cherry red fovea -
- 11.
Trismus results from:
- A.
Involuntary muscle spasm of the temporalis muscle
- B.
Mechanical obstruction by an infection
- C.
Impaired neuromuscular transmission
- D.
Involuntary muscle spasm of the internal pterygoid
Correct Answer
D. Involuntary muscle spasm of the internal pterygoid -
- 12.
What is the typical presentation and treatment of alveolar osteitis?
- A.
Occurs within 24 hours of extraction, treated with NSAID’s.
- B.
Occurs 3-4 days after extraction, treated with NSAID’s.
- C.
Occurs within 24 hours and treated with nerve block, irrigation and packing of the socket, NSAID’s and antibiotics.
- D.
Occurs after 3-4 days and treated with nerve block, irrigation and packing of the socket, NSAID’s and antibiotics.
Correct Answer
D. Occurs after 3-4 days and treated with nerve block, irrigation and packing of the socket, NSAID’s and antibiotics. -
- 13.
A 19 year old male patient presents with bleeding form edematous bluish red gingiva partially covering the teeth throughout his mouth. What diagnosis should be suspected?
- A.
Acute Leukemia
- B.
Aphthous stomatitis
- C.
Pyogenic Granuloma
- D.
Dilantin toxicity
Correct Answer
A. Acute Leukemia -
- 14.
Which patient requires immediate placement of calcium hydroxide dressing covered by dry foil over the injury and notification of a dentist?
- A.
Adult patient with an Ellis I fracture
- B.
Child with and Ellis II fracture
- C.
Adult with and Ellis II fracture
- D.
Child with an Ellis I fracture
Correct Answer
B. Child with and Ellis II fracture -
- 15.
Which teeth require reimplantation?
- A.
Avulsed primary teeth
- B.
Subluxed permanent teeth
- C.
Avulsed permanent teeth
- D.
Subluxed primary teeth
Correct Answer
C. Avulsed permanent teeth -
- 16.
Which of the following is true regarding patients with potentially significant chemical burns to the eye?
- A.
Begin irrigation in the ED immediately after a pH of less than 12 of greater than 2 is obtained.
- B.
Begin irrigation in the ED for at least 30 minutes.
- C.
Begin irrigation at the scene for at least 30 minutes.
- D.
Begin irrigation in the ED immediately after a pH of greater than 12 of less than 2 is obtained.
Correct Answer
C. Begin irrigation at the scene for at least 30 minutes. -
- 17.
What is the correct technique for reducing a mandibular dislocation?
- A.
With the patient sitting up and head leaning forward, apply anterior and superior pressure to the ridge of the mandible.
- B.
With the patient sitting up with a firm surface behind the head, apply posterior and inferior pressure to the ridge of the mandible.
- C.
With the patient sitting up and a firm surface behind the head, apply poster and superior pressure to the ridge of the mandible.
- D.
With the patient sitting up and head leaning forward, apply posterior and inferior pressure to the ridge of the mandible.
Correct Answer
B. With the patient sitting up with a firm surface behind the head, apply posterior and inferior pressure to the ridge of the mandible. -
- 18.
In which patient is eye patching indicated?
- A.
Bloody chemosis
- B.
Corneal abrasion secondary to prolonged contact lens use
- C.
Hyphema
- D.
Corneal abrasion secondary to vegetable matter.
Correct Answer
C. Hyphema -
- 19.
A trauma patient presents with significant proptosis, limitation of extraocular movements, and decreased visual acuity. His IOP is 65 in the inured eye versus 10 in the uninjured eye. Work up and management includes?
- A.
Facial Xrays, acetazolamide, topical beta blocker, and IV manitol
- B.
CT scan, acetazolamide, topical beta blocker, and IV manitol.
- C.
Immediate lateral canthotomy.
- D.
Orbital massage.
Correct Answer
B. CT scan, acetazolamide, topical beta blocker, and IV manitol. -
- 20.
Monocular diplopia and iridodonesis are pathognomonic for:
- A.
Iridodialysis
- B.
Lens subluxation
- C.
Traumatic myadriasis
- D.
Traumatic iridocyclitis
Correct Answer
B. Lens subluxation -
- 21.
Which patient requires a work up of a subconjunctival hemorrhage?
- A.
Patients with minor eye trauma
- B.
Post valsalva
- C.
Idiopathic
- D.
Bilateral or recurrent
Correct Answer
D. Bilateral or recurrent -
- 22.
A 3 year old is brought into your ED after falling down on the sidewalk and biting his tongue. On exam, you note a 7 mm laceration in the center of the tongue. What is the best management option?
- A.
Multi layer closure
- B.
4.0 Nylon to close the superficial tongue surface
- C.
Reassurance and rinsing
- D.
6.0 Chromic to close the superficial tongue surface
Correct Answer
C. Reassurance and rinsing -
- 23.
A patient presents with profuse epistaxis from the right nostril for 30 minutes. His initial BP is 210/110. What is the best initial treatment?
- A.
Labetalol 10 mg IV
- B.
Insert the nasal speculum to visualize the source of bleeding before attempting control
- C.
Posterior packing
- D.
Clear clots and apply pressure for 15 minutes while setting up supplies
Correct Answer
D. Clear clots and apply pressure for 15 minutes while setting up supplies -
- 24.
Later on, despite the placement of one anterior pack, the bleeding persists from the right nostril. What is the next best step?
- A.
Place another anterior pack
- B.
Place a posterior pack
- C.
Silver nitrate
- D.
Replace with Gelfoam or surgical sponge
Correct Answer
A. Place another anterior pack -
- 25.
A fourth cranial nerve palsy will have the following physical exam findings:
- A.
Miosis, anhydrosis, ptosis
- B.
Dilated pupil with an eye turned down and out
- C.
Weakness in downward gaze with a head tilt to the opposite shoulder
- D.
Weakness in lateral gaze with head turned towards the affected side
Correct Answer
C. Weakness in downward gaze with a head tilt to the opposite shoulder -
- 26.
Which patient requires hospitalization their eye complaint?
- A.
Orbital blow out fracture with entrapment
- B.
Hyphema in sickle cell patient
- C.
Corneal foreign body with rust ring
- D.
Traumatic iritis
Correct Answer
B. Hyphema in sickle cell patient -
- 27.
The initial treatment of acute primary angle closure glaucoma with an IOP of 35 includes and a decrease in visual acuity from 20/40 to 20/60 includes:
- A.
IV manitol
- B.
IV acetazolamide
- C.
Topical timolol
- D.
All of the above.
Correct Answer
C. Topical timolol -
- 28.
Which of the following may be seen with Herpes Simplex infections of the eye?
- A.
Superficial punctuate keratitis
- B.
Corneal ulcer
- C.
Dendritic lesion
- D.
All of the above
Correct Answer
D. All of the above -
- 29.
An otherwise well 2 day old newborn is brought to the ED with a complaint of “pink eye”. There is no significant discharge. What is the most likely diagnosis?
- A.
Viral conjunctivitis
- B.
N. gonorrhea
- C.
Chemical Conjunctivitis
- D.
Chlamydia
Correct Answer
C. Chemical Conjunctivitis -
- 30.
Which of the following is true regarding temporal arteritis treatement?
- A.
As with optic neuritis, steroid treatment remains controversial.
- B.
Initiate prior to temporal artery biopsy.
- C.
Oral and IV steroid therapy produces similar outcomes.
- D.
Initiate only after temporal artery biopsy.
Correct Answer
B. Initiate prior to temporal artery biopsy. -
- 31.
Which of the following is true regarding conjunctivitis?
- A.
Neomycin ointment is the agent of choice.
- B.
N. gonorrhoeae is typically treated as an outpatient.
- C.
Intense redness, itching, irritation and preauricular lymphadenopathy are suggestive of viral conjunctivitis.
- D.
The majority of conjunctivitis patients require only treatment with a topical antibiotic, cold compresses and decongestants.
Correct Answer
C. Intense redness, itching, irritation and preauricular lymphadenopathy are suggestive of viral conjunctivitis. -
- 32.
What is the gold standard for intraocular foreign bodies?
- A.
CT
- B.
MRI
- C.
Ultrasound
- D.
Plain Films
Correct Answer
A. CT -
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Jul 30, 2011Quiz Edited by
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